The Pediatric Cardiac Surgery Inquest Report




Perfusionists are the technicians who run the cardiopulmonary bypass machine. Perfusion Services was a technical department that reported to the head of surgery, and provided perfusion services for adult and pediatric surgery. Michael Maas was the head of Perfusion Services at the HSC. He and three other perfusionists (Chris McCudden, Todd Koga and David Smith) provided perfusion services at both the HSC and St. Boniface General Hospital.



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Section 1 Chapter 1 - Introduction to the Issues
  Chapter 2 - Pediatric Cardiac Issues
  Chapter 3 - The Diagnosis of Pediatric Heart Defects and their Surgical Treatment
  Chapter 4 - The Health Sciences Centre
Section 2 Chapter 5 - Pediatric Cardiac Surgery in Winnipeg 1950-1993
  Chapter 6 - The Restart of Pediatric Cardiac Surgery in 1994
January 1, 1994 to May 17, 1994
  Chapter 7 - The Slowdown
May 17 to September 1994
  Chapter 8 - Events Leading to the Suspension of the Program
September 7, 1994 to December 23, 1994
  Chapter 9 - 1995 - The Aftermath of the Shutdown
January to March, 1995
Section 3 Chapter 10 - Findings and Recommendations
Appendix 1 - Glossary of terms used in this report
Appendix 2 - Parties to the Proceedings and counsel
Appendix 3 - List of witnesses and dates of testimony
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